MEDICARE: SAINTES ASSISTED INDEPENDENT LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	HAL-093-003	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093867244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINTES ASSISTED INDEPENDENT LIVING

Provider Business Mailing Address
First Line	:	962 MANSON AXTELL RD
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563-9451
Country	:	US
Telephone Number	:	252-456-2060
Fax Number	:	252-456-2795

Provider Business Practice Location Address
First Line	:	962 MANSON AXTELL RD
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563-9451
Country	:	US
Telephone Number	:	252-456-2060
Fax Number	:	252-456-2795

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. INEZ M MYLES
Credential	:
Telephone Number	:	252-456-2090

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/28/2008

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